在患有慢性腰部疼痛的患者中,带有或没有腰部不稳定性的腹膜外和厚度
Witsarut Bunphrom1, Thiwaphon Chatprem2,3, Rungthip Puntumetakul1,4
1School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand.
腰部不稳定 (LI) 和慢性腰部疼痛 (CLBP) 的患者表现出隔膜外和厚度的减少. 隔膜训练可以改善CLBP-LI患者的康复.
科学领域:
- 生物力学 生物力学
- 呼吸系统生理学 呼吸系统生理学
- 肌肉骨康复 肌肉骨康复
背景情况:
- 隔膜对于呼吸和干部稳定至关重要.
- 之前关于腰部不稳定的研究主要集中在干部肌肉上,忽视了隔膜的作用.
- 在慢性下背痛 (CLBP) 和LI患者中,隔膜的功能尚未得到充分研究.
研究的目的:
- 为了比较腹膜外流,厚度和肺功能 (预测的%FVC) 在举重时与潮呼吸.
- 研究具有 (CLBP_LI) 和没有LI (CLBP_NLI) 的CLBP患者之间的差异.
主要方法:
- 96名CLBP参与者 (20-59岁) 被分为CLBP_LI和CLBP_NLI组.
- 实时超声波评估了带潮呼吸的负载提升过程中的隔膜外流和厚度.
- 螺旋计测量肺功能 (预测的%FVC).
主要成果:
- 在CLBP_LI组中,显著减少了隔膜外流的总量 (p=0.003).
- 在吸入 (p=0.027) 和 expiration (p=0.34) 期间的隔膜厚度在CLBP_LI组显著较低.
- 在预测的吸入/呼出,总厚度,厚度变化或群体之间的%FVC期间的游览中没有发现显著差异.
结论:
- 患有CLBP_LI的个体在呼吸过程中表现出减少的隔膜外和厚度.
- 将隔膜训练纳入康复计划可以提高LI患者的治疗疗效.
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